Serious Help needed on the next step

[digi23]

6 minutes ago, baldface said:

thank you so much!!! this means alot! ill take ur advice

in terms of the fin are u suggesting to carry on for another year since ive been on it for 18 months. and i agree Dr bicer sounds like a great person so am a bit unsure why my experience with her assistant/whatsapp messaging person has not been the best.

If you have no sides you should continue with Finasteride and see how it progresses, just shave down and wait a couple of years to see, you might like the easy maintenance and good beard with a shaved head look, who knows. Otherwise you can reasses your situation when you are 25+ and hopefully your loss have slowed down significantly.

[baldface]

2 minutes ago, JC71 said:

And luckily you can benefit from my experience’s, I didn’t do my research and chose poorly for my first ht (12 years ago) and it was here in the UK. 
Coming on to this forum is the best thing you could have done ! 

yeah Definitely, i was a bit nervous but you guys are absolutely amazing and so helpful, this has taken so much stress out. thank you so much, i know i keep saying but its coming from the bottom of my heart lol

[Britanium]

1 minute ago, baldface said:

yeah Definitely, i was a bit nervous but you guys are absolutely amazing and so helpful, this has taken so much stress out. thank you so much, i know i keep saying but its coming from the bottom of my heart lol

Your more than welcome ! It’s why we are here 🤛 hopefully help, guide and support. It’s nice to give back to the community. The knowledge and experience here is pretty amazing. 

[baldface]

3 minutes ago, digi23 said:

If you have no sides you should continue with Finasteride and see how it progresses, just shave down and wait a couple of years to see, you might like the easy maintenance and good beard with a shaved head look, who knows. Otherwise you can reasses your situation when you are 25+ and hopefully your loss have slowed down significantly.

yeah that makes sense, thanks! btw congrats on your HT looks great!!

[baldface]

39 minutes ago, Z-- said:

I'd check out Eugenix and H&W given the level of loss. I'd be a bit hesitant to do a hair transplant given your young age, but the level of loss you have is intense, though the donor looks okay. I'd honestly shave it off, give fin some time, and wait until 25 to see where your donor is at. If it hasn't thinned by then, I'd go through with it.

Best of luck with the journey -- you've come to the right place.

thank you so much for the advice man means alot. the level of community and help here is amazing. i should have done this much sooner.

[JDEE0]

Hi mate,

You do indeed have very aggressive loss for a 22 year old, well, for any age really, but going so bald so young is a problem for the following reason. 

Donor hair is not DHT/androgen proof and is only resistant to their miniaturising effects - with the obviously strong genetic susceptibility to AGA that you have, it's really anyones guess as to where you will end up in even 10-20 years time. Your donor looks fairly strong at the back, but as you point out, retrograde is clearly present at the nape and potentially the sides too from what I can see. I'm sure you know all of this, but the issue is that your donor area might just completely thin out by the time you're 30, 35 or 40, and your transplant will be for nothing. All you'll have is patchy areas and probably a lot of scarring to show for it (you'll need as many grafts as humanly possible, so it will probably be visible).

Beyond that, even if you did get a HT now, would you really be happy? At 22 years old and your level of baldness, even if you have a good result by your NW level, there's only so much density that can be given and only so low your hairline etc can be. The crown will probably be showing somewhat, hair will be fairly low density which will be notiecable, hairline placement might be too high for your age, and so on. This type of restoration works more for people say 40+ in my opinion, but can often actually make very young people like yourself look worse in some ways, or at least older, as a scalp with decent coverage but that is still thinning in areas/shows signs of an advanced pattern of baldness at times isn't something that screams youthful. It looks good on a guy who's older and where thinning throughout, maybe a low density crown and mature hairline etc is expected. I guess what I'm saying is it might age you more than just shaving for example. 

My advice would be to just shave it off if you can, or go for SMP or a hair system if you're comfortable with those, whatever it is that allows you to move on for now, and then re-assess maybe in your 30's. If your donor is holding up well at this point, it'll be somewhat clear you're not going to thin out drastically and you can hop on meds and go for a HT at that point if the desire is still burning for it.

[Gatsby]

This was me when I wore a wig (hair system). I have (had 😢) naturally curly hair. I would buy a hair piece and have my hair dresser perm it and match the color then cut it into my own hair. 
 

[baldface]

right everyone thank you for helping it seems the best choice is to go for a hair system for now and then smp or transplant depending on donor etc later down the line.

Another thing im unsure about is if i should continue taking fin, my libido is not down nor my erection quality however i dont get morning wood anymore, should this be a sign to stop or its not that concerning?

thanks

[Britanium]

If you do happen to slow down/stop the loss by remaining on Fin then you could always consider FUT, someone like H&W or Hattingen do mega sessions. 
Or another alternative would be a combo ht FUT/FUE and even BHT with Bisnaga.. it’s going to take very careful planning though. If you was to continue to lose ground whilst being on Fin then a hair transplant wouldn’t be advisable. 
Im guessing your now over loaded with information? 😆

Edited January 6, 2022 by JC71

[Gatsby]

Then I shaved my hair and rocked the SMP look which hid some hideous scars from two butchered hair transplants from when I was 18!! Really think twice about surgery. 

[baldface]

3 minutes ago, JDEE0 said:

Hi mate,

You do indeed have very aggressive loss for a 22 year old, well, for any age really, but going so bald so young is a problem for the following reason. 

Donor hair is not DHT/androgen proof and is only resistant to their miniaturising effects - with the obviously strong genetic susceptibility to AGA that you have, it's really anyones guess as to where you will end up in even 10-20 years time. Your donor looks fairly strong at the back, but as you point out, retrograde is clearly present at the nape and potentially the sides too from what I can see. I'm sure you know all of this, but the issue is that your donor area might just completely thin out by the time you're 30, 35 or 40, and your transplant will be for nothing. All you'll have is patchy areas and probably a lot of scarring to show for it (you'll need as many grafts as humanly possible, so it will probably be visible).

Beyond that, even if you did get a HT now, would you really be happy? At 22 years old and your level of baldness, even if you have a good result by your NW level, there's only so much density that can be given and only so low your hairline etc can be. The crown will probably be showing somewhat, hair will be fairly low density which will be notiecable, hairline placement might be too high for your age, and so on. This type of restoration works more for people say 40+ in my opinion, but can often actually make very young people like yourself look worse in some ways, or at least older, as a scalp with decent coverage but that is still thinning in areas/shows signs of an advanced pattern of baldness at times isn't something that screams youthful. It looks good on a guy who's older and where thinning throughout, maybe a low density crown and mature hairline etc is expected. I guess what I'm saying is it might age you more than just shaving for example. 

My advice would be to just shave it off if you can, or go for SMP or a hair system if you're comfortable with those, whatever it is that allows you to move on for now, and then re-assess maybe in your 30's. If your donor is holding up well at this point, it'll be somewhat clear you're not going to thin out drastically and you can hop on meds and go for a HT at that point if the desire is still burning for it.

thank you for taking the time and helping, i appreciate ur adice and i think its the correct one

[baldface]

4 minutes ago, Gatsby said:

This was me when I wore a wig (hair system). I have (had 😢) naturally curly hair. I would buy a hair piece and have my hair dresser perm it and match the color then cut it into my own hair. 
 

wow you rocked that really well!!! is doing the purchasing yourself and then letting the a hairdresser do the rest much cheaper than getting it all done by them?

[baldface]

3 minutes ago, JC71 said:

If you do happen to slow down/stop the loss by remaining on Fin then you could always consider FUT, someone like H&W or Hattingen do mega sessions. 
Or another alternative would be a combo ht FUT/FUE and even BHT with Bisnaga.. it’s going to take very careful planning though. If you was to continue to lose ground whilst being on Fin then a hair transplant wouldn’t be advisable. 
Im guessing your now over loaded with information? 😆

hahaha always better to be overloaded with info then have none i suppose lol. should be also thinking of smp for the fut scar?

[baldface]

4 minutes ago, Gatsby said:

Then I shaved my hair and rocked the SMP look which hid some hideous scars from two butchered hair transplants from when I was 18!! Really think twice about surgery. 

yeah great results either way there, and thank you for the warning about the transplant, if i may ask what went wrong?

[helpthisguypls]

@baldface I'd check out some work by hair repair club or novo cabelo - these are two up and coming hair system groups I've noticed recently and their work is craaaaaaazy! you got loads of options dude, just take your time

[baldface]

9 minutes ago, JDEE0 said:

Hi mate,

You do indeed have very aggressive loss for a 22 year old, well, for any age really, but going so bald so young is a problem for the following reason. 

Donor hair is not DHT/androgen proof and is only resistant to their miniaturising effects - with the obviously strong genetic susceptibility to AGA that you have, it's really anyones guess as to where you will end up in even 10-20 years time. Your donor looks fairly strong at the back, but as you point out, retrograde is clearly present at the nape and potentially the sides too from what I can see. I'm sure you know all of this, but the issue is that your donor area might just completely thin out by the time you're 30, 35 or 40, and your transplant will be for nothing. All you'll have is patchy areas and probably a lot of scarring to show for it (you'll need as many grafts as humanly possible, so it will probably be visible).

Beyond that, even if you did get a HT now, would you really be happy? At 22 years old and your level of baldness, even if you have a good result by your NW level, there's only so much density that can be given and only so low your hairline etc can be. The crown will probably be showing somewhat, hair will be fairly low density which will be notiecable, hairline placement might be too high for your age, and so on. This type of restoration works more for people say 40+ in my opinion, but can often actually make very young people like yourself look worse in some ways, or at least older, as a scalp with decent coverage but that is still thinning in areas/shows signs of an advanced pattern of baldness at times isn't something that screams youthful. It looks good on a guy who's older and where thinning throughout, maybe a low density crown and mature hairline etc is expected. I guess what I'm saying is it might age you more than just shaving for example. 

My advice would be to just shave it off if you can, or go for SMP or a hair system if you're comfortable with those, whatever it is that allows you to move on for now, and then re-assess maybe in your 30's. If your donor is holding up well at this point, it'll be somewhat clear you're not going to thin out drastically and you can hop on meds and go for a HT at that point if the desire is still burning for it.

if there a minimum length you need for the sides and back for the hair system? 

[Britanium]

Just now, baldface said:

hahaha always better to be overloaded with info then have none i suppose lol. should be also thinking of smp for the fut scar?

BHT - Beard grafts can work very well for FUT scars. Although H+W and Hattingen FUT scars are pretty much pencil thin for most (not guaranteed) 

Mine ended up wide after x2 FUT. Choosing a elite Clinic usually eliminates this issue. 

[JDEE0]

1 minute ago, baldface said:

if there a minimum length you need for the sides and back for the hair system? 

I'm no expert in systems, but no, I see a lot of people online these days rocking fades etc with hair systems.

[baldface]

3 minutes ago, helpthisguypls said:

@baldface I'd check out some work by hair repair club or novo cabelo - these are two up and coming hair system groups I've noticed recently and their work is craaaaaaazy! you got loads of options dude, just take your time

wow yeah they look good! is it there also particular famous ones i need to watch out for due to the price and quality ratio not being good

[baldface]

5 minutes ago, JDEE0 said:

I'm no expert in systems, but no, I see a lot of people online these days rocking fades etc with hair systems.

i see! i shaved my head three weeks ago, could i possibly be able to get a system in the next couple days or should i wait for a while? thanks

[Berba11]

22 minutes ago, baldface said:

right everyone thank you for helping it seems the best choice is to go for a hair system for now and then smp or transplant depending on donor etc later down the line.

Another thing im unsure about is if i should continue taking fin, my libido is not down nor my erection quality however i dont get morning wood anymore, should this be a sign to stop or its not that concerning?

thanks

Hi mate,

By far and away the best option and the absolute first thing you should do is buzz it all off. 

Not only will doing so look more deliberate, tidy & better than your current balding look, it’s always the cheapest, most hassle free & safest option. It’s a total no brainer. I have to say it’s a bit of a pet peeve of mine when people get a HT or other interventions without buzzing off FIRST. If you get a HT or SMP etc, you’ll have to have your hair buzzed off (at least for a while) anyway. 
 

Buzzing off should be step one. Permanent work, like surgery or SMP should ALWAYS be the last resort. 
 

Just don’t make any hasty decisions. Take your time. The one benefit of having advanced hairloss so young is that there’s no real ticking clock. You haven’t got much more to lose at this point so have no reason to rush. Finasteride will help keep what you’ve got but it’s going to be a regular commitment for decades. 

[Berba11]

13 minutes ago, baldface said:

i see! i shaved my head three weeks ago, could i possibly be able to get a system in the next couple days or should i wait for a while? thanks

I didn’t see this post before I wrote my reply but that’s great news!

Definitely wait it out. Give yourself time to adjust to the buzzed or shaved off look. Give yourself time to settle into the routine of buzzing down. 
 

As @Gatsbysays, you need the right character to pull off a hair system. If you’re happy for people to know you wear one and can have some fun at your own expense with it - awesome! If it’s something you’ll feel you have to hide from people, forget about it. You’ll just torture yourself. They aren’t cheap, either. 

[baldface]

25 minutes ago, Berba11 said:

I didn’t see this post before I wrote my reply but that’s great news!

Definitely wait it out. Give yourself time to adjust to the buzzed or shaved off look. Give yourself time to settle into the routine of buzzing down. 
 

As @Gatsbysays, you need the right character to pull off a hair system. If you’re happy for people to know you wear one and can have some fun at your own expense with it - awesome! If it’s something you’ll feel you have to hide from people, forget about it. You’ll just torture yourself. They aren’t cheap, either. 

yeah ofc family and friends will know if I do get one, its more just about if im with my uni friends at a nightclub or restaurant i dont wanna feel singled. the shaved off look with beard looks good however the buzzcut with the horseshoe is dangerous territory lol. and thanks for the comments

[Berba11]

10 minutes ago, baldface said:

yeah ofc family and friends will know if I do get one, its more just about if im with my uni friends at a nightclub or restaurant i dont wanna feel singled. the shaved off look with beard looks good however the buzzcut with the horseshoe is dangerous territory lol. and thanks for the comments

Can you explained what you mean about feeling singled out? Do you mean you’d feel singled out by being the one without hair?

[baldface]

Just now, Berba11 said:

Can you explained what you mean about feeling singled out? Do you mean you’d feel singled out by being the one without hair?

yeah, maybe its an irrational fear, being the only one with no hair kind of makes me feel out of place but ill probably get over it